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OTTO ROSENAU & ASSOCIATES, INC. <br /> Geotechnical Engineering,Construction Inspection&Materials Testing <br /> PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT <br /> Job Number: 16-0804d Report Number: 339767 Permit Number: C1606-069 to 075 <br /> Project: Eclipse Townhomes—Bldg.1 Client: Polygon Northwest <br /> Address: 3302 31st Drive,Everett Address: 11624 SE 5th Street,Bellevue <br /> Inspector: Darren Reid Date: 4/13/2017 <br /> Description/Location: Inspected the epoxy grouted installation of(1)7/8"diameter x 18"long all thread anchor into thickened slab <br /> footing for HDU8 holdown at building#1 unit 1.1 interior shearwall(south end). The inspected work was found <br /> to be done as per approved project documents. <br /> Intended Use: Anchor bolt for HDU 8 Holdown Building Code&Year: <br /> 0 Reinforciiing.Steel ►,a All Thread <br /> Bar/Dowel Size&Quantity: Anchor Size&Quantity: 7/8"(1) <br /> Rebar Manufacturer: Type of Steel(ASTM): ®A-36 0 A-325 ❑A-449 <br /> Rebar Grade: ❑40 0 60 0 Other: 0 Other: <br /> Type of Bar: ❑A-615 0 A-706 ❑A-775 0 Other: <br /> Special Ductile Quality(SDQ): 0 Yes ❑No <br /> Anchor Length: 18" Hole Depth: 11 '/" Required Embedment: 9" <br /> Hole Diameter: 1" Concrete Thickness: Concrete Strength: <br /> Hole Orientation: EI Vertical Down ❑Vertical Up 0 Horizontal <br /> • <br /> Base Material: ®Normal Weight Concrete 0 Light Weight Concrete ❑CMU 0 Brick ❑Composite Deck <br /> Hole Cleaning: ®Compressed Air 0 Hand Pump ❑Other: Compressed Air PSI: 80-100 <br /> Brushed: ®Yes 0 No Hole Condition: ®Dry ❑Damp 0 Water Saturated 0 Submerged <br /> Drill Bit(ANSI B212.15): ®Yes ❑No Approved Diamond Cored Hole: ❑Yes ®No <br /> Adhesive Type: Simpson AT XP Expiration Date: 1/4/2018, 12/4/2018 ICC ESR#: ER <br /> 263 <br /> Weather: Overcast with rain Ambient Temperature: 52°F Substrate Temperature: 50°F <br /> Com;rijients _ <br /> Reference Standard(s) Used: Conforms X Does Not Conform <br /> Copies to: <br /> Client X Engineer X Others r <br /> Owner X Contractor Technical Responsibility: <br /> Architect X Building Dept. f Waft r ansen,Project Manager <br /> This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates,Inc. Reproduction of this report, <br /> except in full,without written permission from our firm is strictly prohibited. ,.. <br /> Page of °t Q <br /> 6747 M.L.King Way S.,Seattle,Washington 98118-Phbne-(206)725=4600 or 1-888-OTTO-4-US-Fax(206)723-2221 <br /> Form No.:ADMIN-86-02(Rev.05/13) <br /> t <br /> ii <br /> I <br />